一位921震災截肢婦女的創傷後反應及其護理經驗

　　　　　本文探討一位37歲女性在921之餘震中雙腳受重物壓傷，導致左膝上截肢後的反應。由主護護士與個案自由會談、觀察，記錄十一篇行為過程記錄。藉「創傷後反應」之概念為指引來分析整理個案的經驗，並說明採行的護理措施。結果發現在地震後12天時，個案呈現之創傷後反應達16項內容。經由照顧後，這些反應項目至第41天時已完全消失，暫時減除個案「創傷後反應症候群」之行為表徵。此可證明護理人員若能提供適當的護理措施將可協助個案面對此一天然災害事件所帶來的影響，並能自我調適降低震災截肢之傷害。使其能早日重返家庭及社會，再創生機。
　　　　　The purpose of this case study was to explore the response of a 37-years-old woman who facedleft above-the-knee amputation during the earthquake in Taiwan on 9/21/1999. Data was collectedusing 11-process-recordings after conversations and clinical observations. The results were analyzedbased on the identified characteristics of post-traumatic response by Kuo and Kau (1996). The results showed that the patient had 16 characteristics of post-traumatic response .on the 12thday after the event. All of the signs had subsided by the 41th 41sh day after the earthquake. The resultsindicated that adequate nursing care could help patients face a nature disaster, cope with stress, andreturn to daily activities.